Physician Compare National (NPI:1639464431)

HEALTHCARE PROVIDER: DELA AMOUSSOU M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639464431
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941441356
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160907002758
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AMOUSSOU
	Individual professional last name
Provider First Name	DELA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8700 BEVERLY BLVD
	Group Practice or individual's line 1 address
City	WEST HOLLYWOOD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900481804
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3236381474
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050396
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SANTA BARBARA COTTAGE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050775
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEMECULA VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050022
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	RIVERSIDE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050329
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CORONA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050159
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	VENTURA COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1639464431)

HEALTHCARE PROVIDER: DELA AMOUSSOU M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information